PFLUGERVILLE PERIODONTICS
NPI 1255842159
Dentist - Periodontics in Pflugerville, TX
NPI Status: Active since October 18, 2017
Contact Information
2911 A W GRIMES BLVD
PFLUGERVILLE, TX
ZIP 78660
Phone: (512) 990-8550
- Organization
- Dentist
- Periodontics
- CLIA Number: 45D2145276
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-04-2026
About PFLUGERVILLE PERIODONTICS
This page provides the complete NPI Profile along with additional information for Pflugerville Periodontics, a provider established in Pflugerville, Texas operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1255842159 assigned on October 2017. The practitioner's primary taxonomy code is 1223P0300X with license number 20343 (TX). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jonathan Callia Dds, Ms (Shareholder)
- NPI
- 1255842159
- Provider Name
- PFLUGERVILLE PERIODONTICS
- Entity Type
- Organization
- Location Address
- 2911 A W GRIMES BLVD PFLUGERVILLE, TX 78660
- Location Phone
- (512) 990-8550
- Mailing Address
- 2911 A W GRIMES BLVD PFLUGERVILLE, TX 78660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2017
- Last Update Date
- 10-18-2017
- Code Navigator
A dentist like Pflugerville Periodontics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 20343
- License State
- TX
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2145276
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- March 05, 2024
- Certificate Expiration Date
- March 04, 2026
- Laboratory Director
- MALAVIKA VINTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pflugerville Periodontics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 8 | 4 | 2 | 1 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 16 | 4 | 4 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 6 + 4 + 4 + 1 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1255842159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. DAVID EMORY MARTIN D.D.S.
Dentist
2911 A W GRIMES BLVD
STE. 106
PFLUGERVILLE, TX
ZIP 78660
MS. REBECCA MARCIA PASHBY MA
Counselor
(Mental Health)
2911 A W GRIMES BLVD
PFLUGERVILLE, TX
ZIP 78660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255842159, enumerated as an "organization" on October 18, 2017.
The provider is located at 2911 A W GRIMES BLVD PFLUGERVILLE, TX 78660 and the phone number is (512) 990-8550.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
